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Individual

MAUREEN E GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
598 CYNWOOD DR STE 101, EASTON, MD 21601-3875
(410) 770-9720
(410) 770-9725
Mailing address
659 S SALISBURY BLVD STE 1B, SALISBURY, MD 21801-5458
(410) 860-5910
(410) 860-5912

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24560
MD
225100000X
Physical Therapist
PT010176L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0209209000
KEYSTONE EAST
01
20033074
AMERIHEALTH MERCY
01
50026508
CAPITAL
PA
01
522509
HIGHMARK
PA
01
522509
PERSONAL CHOICE
01
PT010176L
US DEPT OF LABOR ACS
Enumeration date
06/06/2006
Last updated
04/01/2015
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